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Prescription
Drug Fraud
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| September 2004 |
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In Arkansas, a woman was sentenced to time served of 4 months and 3 days and ordered to pay $4,000
in restitution for her scheme to fraudulently obtain at least 72 prescriptions of narcotic drugs,
totaling 9,615 pills. In addition, the woman was ordered to participate in a drug rehabilitation
treatment program and to undergo routine drug testing. While employed as the director of nursing
for several nursing homes, the woman used her position to obtain residents’ Medicaid numbers
to obtain prescriptions for narcotic drugs, including Hydrocodone. The woman called in prescriptions
to pharmacies in the names of residents and included maintenance medications on the order in an attempt
to mask the narcotic drug. She disposed of the maintenance medications when she picked up the prescription
order. As a result of the scheme, many nursing home residents were denied prescriptions since records
revealed that the prescriptions had been recently filled.
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Physicians
and Other Health Care Professionals
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| September 2004 |
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An Ohio doctor specializing in pain management, family practice, and emergency medicine was
ordered to pay $215,000 in restitution for Medicaid fraud. In addition, $400,000 in cash previously
seized was ordered to be forfeited to the Government. Investigation revealed that the doctor billed
office visits using codes indicating an extended visit, when he actually only saw patients for
a few minutes. He routinely saw over 60 patients in a day but worked less than 6 to 7 hours a day.
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Child
Support Enforcement
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September 2004
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In Indiana, a man was sentenced to 3 years imprisonment, suspended, 3 years probation and ordered
to pay his remaining arrearage of $13,000 for failure to pay child support. Investigation revealed
that the man left Illinois and began living with his twin brother in Arizona. In Arizona, the man
was working for a construction company owned by family members. After learning that the OIG and
local authorities had uncovered his current whereabouts, the man returned to Indiana, paid $10,000
toward his arrearage, and pled guilty.
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